SURGICAL SPECIALISTS PC
NPI 1497874945
Specialist in Waterbury, CT

Active since March 28, 2007
134 GRANDVIEW AVE, SUITE 209, WATERBURY, CT 06708(203) 755-6666(203) 573-6735 Get Directions Write a Review

NPPES record last updated: November 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Surgical Specialists Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGICAL SPECIALISTS PC (NPI 1497874945) is a healthcare organization registered as a specialist in Waterbury, Connecticut and active in the NPI registry since March 2007. The organization lists Jayakara Shetty, President, as its authorized official.

NPPES Registry Identity

NPI1497874945
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSURGICAL SPECIALISTS PC
Location Address134 GRANDVIEW AVE, SUITE 209Waterbury, CT 06708-2507
Mailing Address134 Grandview Ave, Suite 209Waterbury, CT 06708-2507 · (203) 755-6666 · Fax (203) 573-6735
Fax(203) 573-6735
Organization SubpartNo
Authorized OfficialJayakara ShettyPresident · (203) 755-6666
Enumeration DateMarch 28, 2007
Last NPPES UpdateNovember 3, 2009
NPI 1497874945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CT · 024773
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
134 GRANDVIEW AVE, Waterbury, CT 06708

Other Identifiers 12

Other556517CT · Aetna Ush
Other130555CT · Preferred One
Medicare ID-Type Unspecified020001336CT
Other010024773CT02CT · Anthem Bcbs
Other0R0463CT · Healthnet
OtherNHS039CT · Oxford Healthplan
Other130555CT · Wellcare
Other024773CT · Connecticare
Other0199318CT · Ghi
Other020045404CT · Railroad Medicare
Medicaid001247733CT
Medicare UPIND19514CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
134 GRANDVIEW AVE, SUITE 102
WATERBURY, CT 06708
Nurse Practitioner (Obstetrics & Gynecology)
134 GRANDVIEW AVE, SUITE 210
WATERBURY, CT 06708
Advanced Practice Midwife
134 GRANDVIEW AVE
WATERBURY, CT 06708
Pathology (Anatomic Pathology & Clinical Pathology)
134 GRANDVIEW AVE, SUITE 108
WATERBURY, CT 06708
Pathology (Anatomic Pathology & Clinical Pathology)
134 GRANDVIEW AVE, SUITE 108
WATERBURY, CT 06708
Advanced Practice Midwife
134 GRANDVIEW AVE, SUITE 210
WATERBURY, CT 06708
Physician Assistant (Medical)
134 GRANDVIEW AVE
WATERBURY, CT 06708
Nurse Practitioner
134 GRANDVIEW AVE, SUITE 202
WATERBURY, CT 06708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgical Specialists PC's NPI number?

The NPI number for Surgical Specialists PC is 1497874945. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Surgical Specialists PC located?

Surgical Specialists PC is located at 134 Grandview Ave Suite 209, Waterbury, CT 06708. The listed phone number is (203) 755-6666.

What is Surgical Specialists PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Surgical Specialists PC was last updated on November 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.